Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.89 / $62.89 / $67.92	Facility		$62.89	$62.89	$67.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $67.92 / $125.78	Professional		$62.89	$67.92	$125.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $85.53 / $85.53	Professional		$85.53	$85.53	$85.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $143.63 / $143.63	Facility		$143.63	$143.63	$143.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $72.45	Professional		$72.45	$72.45	$72.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $682.16 / $782.09 / $782.09	Facility		$682.16	$782.09	$782.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $790.32 / $790.32 / $1,179.00	Professional		$790.32	$790.32	$1,179.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $100.11 / $143.63	Facility		$40.32	$100.11	$143.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $129.28 / $150.07	Professional		$40.78	$129.28	$150.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $99.25 / $143.63	Facility		$40.32	$99.25	$143.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $124.78	Professional		$72.45	$72.45	$124.78
United Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $82.54 / $96.25	Facility		$47.16	$82.54	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $77.00 / $96.25	Professional		$52.05	$77.00	$96.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $76.13 / $143.63	Professional		$75.76	$76.13	$143.63